A Phase I Trial of Intraperitoneal Mesothelin-Targeted CAR T-Cell Therapy in Patients With Mesothelin-Positive Esophagogastric Adenocarcinoma With Peritoneal Carcinomatosis

Status: Recruiting
Location: See all (7) locations...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

Participants will have a sample of their white blood cells, called T cells, collected using a procedure called leukapheresis. The collected T cells will be sent to a laboratory at Memorial Sloan Kettering to be changed (modified) to become MSLN-targeted CAR T cells, the CAR T-cell therapy that participants will receive during the study. Participant study therapy will take about 3-4 weeks.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Aged ≥18 years

• Diagnosis of pathologically confirmed EG adenocarcinoma

• Diagnosis of metastatic or recurrent disease

• ECOG performance status of 0-1

• Life expectancy of ≥4 months

• Written informed consent for the study (from participant)

• Life expectancy of ≥4 months

• ECOG performance status of 0-1

• Histologic diagnosis that \& \>25% of the tumor expresses MSLN by IHC analysis. Archival tissue obtained up to 2 years before study enrollment is acceptable. IHC testing of a cell block from cytology (e.g., ascitic fluid) is acceptable if approved by the study pathologist. If adequate archival tissue is not available at screening, a fresh tumor biopsy should be obtained

• Stage IV disease with gross peritoneal carcinomatosis on imaging and/or microscopic peritoneal involvement by cytology or noted during diagnostic laparoscopy

• Disease progression or treatment intolerance after receiving at least 1 treatment regimen in the metastatic setting; patients with disease recurrence within 6 months of completing curative systemic therapy (chemotherapy, chemoradiation or adjuvant immunotherapy) are also eligible

• Patients with Her2 positive disease must have received ≥1 line of anti-Her2 based therapy

• At least 1 measurable or evaluable lesion per RECIST 1.1. Screening imaging must be obtained within 6 weeks of signing the informed consent form

• Completion of systemic therapy at least 7 days before leukapheresis

• o Immune checkpoint inhibitor therapy must be completed at least 14 days before leukapheresis

• Lab requirements (hematology):

‣ Absolute neutrophil count ≥1.0 K/mcL

⁃ Hemoglobin ≥9 gm/dL

⁃ Platelet count ≥75 K/mcL

⁃ Blood product transfusion or growth factor support cannot occur within 7 days of testing

• Lab requirements (serum chemistry):

‣ Bilirubin ≤1.5× upper limit of normal (ULN)

⁃ Serum alanine aminotransferase and serum aspartate aminotransferase (ALT/AST) level ≤3× ULN

⁃ Calculated clearance of ≥50 mL/min by Cockcroft-Gault equation

• Negative screen for infectious disease markers, including hepatitis B core antibody, hepatitis B surface antigen, hepatitis C antibody, HIV 1-2 antibody, HTLV antibody and syphilis antibody

• o Note: Patients with a history of hepatitis B virus infection are eligible if the hepatitis B viral load is undetectable. Patients with a history of hepatitis C virus infection who were treated for hepatitis C and cured are eligible if the hepatitis C viral load is undetectable

• Serum pregnancy test with negative result at screening and preconditioning and must be willing to use effective and reliable contraception for at least 12 months after T cell infusion (for female participants of childbearing age)

• Resolution of all acute toxic effects of any previous therapeutic or palliative chemotherapy, radiotherapy, or surgical procedures to grade ≤1 (CTCAE v5.0), except for neuropathy and alopecia

• Life expectancy of ≥4 months

• ECOG performance status of 0-1

• At least 1 measurable or evaluable lesion per RECIST 1.1. Screening imaging must be obtained within 4 weeks before the date of lymphodepletion

• Completion of systemic therapy at least 14 days before lymphodepleting chemotherapy

• o Immune checkpoint inhibitor therapy must be completed at least 28 days before lymphodepleting chemotherapy

• Lab requirements (hematology):

‣ Absolute neutrophil count ≥1.5 K/mcL

⁃ Hemoglobin ≥8 gm/dL

⁃ Platelet count ≥75 K/mcL

• Lab requirements (serum chemistry):

‣ Bilirubin ≤1.5× upper limit of normal (ULN)

⁃ Serum alanine aminotransferase and serum aspartate aminotransferase (ALT/AST) level ≤3× ULN

⁃ Calculated clearance of ≥50 mL/min by Cockcroft-Gault equation

• Serum pregnancy test with negative result within 7 days of planned lymphodepletion date and must be willing to use effective and reliable contraception for at least 12 months after T cell infusion (for female participants of childbearing age)

• Resolution of all acute toxic effects of any previous therapeutic or palliative chemotherapy, radiotherapy, or surgical procedures to grade ≤1 (CTCAE v5.0), except for neuropathy and alopecia

∙ Participant Exclusion Criteria

Locations
United States
New Jersey
Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)
RECRUITING
Basking Ridge
Memorial Sloan Kettering Monmouth (Limited protocol activities)
RECRUITING
Middletown
Memorial Sloan Kettering Bergen (Limited Protocol Activities)
RECRUITING
Montvale
New York
Memorial Sloan Kettering Suffolk - Commack (Limited Protocol Activities)
RECRUITING
Commack
Memorial Sloan Kettering Westchester (Limited Protocol Activities)
RECRUITING
Harrison
Memorial Sloan Kettering Cancer Center (All Protocol Activities)
RECRUITING
New York
Memorial Sloan Kettering Nassau (Limited Protocol Activities)
RECRUITING
Uniondale
Contact Information
Primary
Geoffrey Ku, MD
kug@mskcc.org
646-888-4588
Backup
Parastoo Dahi, MD
dahip@mskcc.org
646-608-3733
Time Frame
Start Date: 2024-09-30
Estimated Completion Date: 2028-09-30
Participants
Target number of participants: 18
Treatments
Experimental: Participants with Mesothelin-Positive Esophagogastric Adenocarcinoma with Peritoneal Carcinomatosis
Participants will be diagnoses with Mesothelin-Positive Esophagogastric Adenocarcinoma with Peritoneal Carcinomatosis
Related Therapeutic Areas
Sponsors
Leads: Memorial Sloan Kettering Cancer Center

This content was sourced from clinicaltrials.gov

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